https://doi.org/10.4081/itjm.2021.1463
Meta-analysis of pharmacist-led and pharmacist-physician intervention on blood pressure control
Submitted: 12 January 2021
Accepted: 9 February 2021
Published: 24 September 2021
Accepted: 9 February 2021
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
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Effective intervention is a significant component in the improvement of blood pressure control and patient adherence. Blood pressure control includes different self-monitoring techniques, mobile health monitoring, or healthcare professionals' interventions. This study aims to compare, analyze, and interpret the effectiveness of pharmacist-physician collaboration and pharmacist- led interventions. Meta-analysis was performed using MEDLINE via PubMed, EMBASE, EBSCO, Web of Science, Scopus, and the Cochrane Library databases between 2008-2018. Of the 51 relevant systematic reviews identified, 15 were of sufficient quality and included in the data synthesis. The breakdown of the 15 included 7 (n=2026) pharmacist and 8 pharmacist-physician interventions (n=2361). The impact of pharmacist-physician collaboration and pharmacist-led interventions on Systolic Blood Pressure was -8.22 (-11.01; -5.42) (P<0.01) and -7.68 (-9.30; -6.06) (P=0.35), respectively. On the other hand, similar correlation for Diastolic Blood Pressure for the impact of pharmacist-physician collaboration and pharmacist-led interventions was -3.55 (-4.54; -2.55) (P=0.49) and -2.58 (-3.76; -1.39) (P=0.24), respectively. These results suggest that both interventions are effective for blood pressure control. However, when two meta-analyses were compared, it was found that pharmacist-physician collaboration was more effective than pharmacist-led interventions. This finding highlights the importance of multidisciplinary approaches during blood pressure control procedures. When a holistic view is considered; especially cost-effectiveness, future studies must be diversified to encompass a broader context and impact analysis.
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How to Cite
Memisoglu, M., & Çelik, Y. (2021). Meta-analysis of pharmacist-led and pharmacist-physician intervention on blood pressure control. Italian Journal of Medicine, 15(3). https://doi.org/10.4081/itjm.2021.1463
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